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Thanks for your thoughtful comment. Yes, life is a gift but a nicer gift the longer one's general health (physical and mental) lasts. I do think one should live for each day, but a certain amount of activities require planning and, with no knowledge of when you are going to drop out of the world, it is difficult to plan. A knee operation is actually a good exemplar. If it goes well, it can make all the difference to having an active life – and I know many people who thank their lucky stars to have had one (or, indeed, two). Without one, life gets progressively more difficult. It's a real gamble. Being an inveterate optimist, I would probably have one in the situation. My lovely husband is, however, a pessimist. It takes all kinds.

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A very interesting post. I liked the Socrates story. The power of now? Accepting mortality but not being passively resigned to unnecessary suffering in the moment?

I found myself thinking of my mother who's in her nineties and her increasing complaints about everything wearing out and needing replacement-the carpets, the freezer, the cooker. Sometimes she talks as if death is imminent, everything is futile then the next minute she's cheerfully reminding us that her own mother lived til she was ninety nine, only just missing her telegram from the Queen. Mum's old gas cooker really does need replacing but would she learn how to operate a new one now they're all fitted with child proof safety ignition which even I struggled to get the hang of.

Replacing body parts is of course are very different. As you say a knee operation can make a big difference to the quality of life-less pain and increased mobility. I'm not a great optimist but remember discussions with patients who had knee surgery and though some disliked the physio afterwards I can't think of any who regretted having the surgery. Best wishes to you and your husband.

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We are all learning to play the flute! A very enjoyable piece, thank you!

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As usual you have presented a personal situation that raises a valid question. Do you live for today, your family, the future? If you live for each day, you can incorporate any and all aspects of interest in a schedule. Whether or not you complete the schedule isn't my point. My point is that by creating a positive listing of activities...mental and physical, you are looking on the positive side of life. It is a gift, no matter how long it lasts. As for surgery, or no surgery... once again how would that decision impact your life today?

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